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Do not freeze.
Do not use insulin if it is past the expiration date stamped on the pen.

Throw away any pen that is kept out of a refrigerator for longer than 2 weeks.
Throw away used needles in a hard, closed container that the needles cannot poke through.

Keep this container away from children and pets.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine, containers, and other supplies.

You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.

How
To Use

APPEARANCE: Injectable.
Your doctor will prescribe your exact dose and tell you how often it should be given.

This medicine is given as a shot under your skin.
Use only the brand of this medicine that your doctor prescribed.

Different brands may not work the same way.
You may be taught how to give your medicine at home.

Make sure you understand all instructions before giving yourself an injection.

Do not use more medicine or use it more often than your doctor tells you to.
This insulin usually starts to work about one and a half hours after it has been injected.

The strongest effects are from 4 hours until about 12 hours after the injection.

This insulin may keep working for as long as 18 to 24 hours after the injection, but it slowly works less and less.

The way NPH insulin works for you might be different.

You and your health caregiver must work together to know the best times for you to use your insulin.
This medicine comes as pre-filled insulin pen.

Carefully read and follow the patient instructions on how to use it.

This type of pen requires you to follow certain steps before you use the medicine.

These steps can include preparing the pen, putting on a new needle, priming the pen, and setting your dose.

You must follow these steps to make sure you receive the right dose of insulin.
You will be shown the body areas where this shot can be given.

Use a different body area each time you give yourself a shot.

Keep track of where you give each shot to make sure you rotate body areas.
This medicine is to be taken by using special syringes.

Your doctor will tell you which type and brand of syringe to use.

Do not share your needles or syringes with others.
Use a new needle and syringe each time you inject your medicine.
If you are using reusable syringes and needles, you must sterilize them before reusing.

Follow the sterilizing directions given with your syringes.
Carefully follow your doctor's instructions about any special diet.
Your doctor may suggest that you follow an exercise program.

You may also be taught to check your own blood sugar levels at home.

Diet, exercise, medicine, and checking your blood sugar are all important to manage your diabetes.

Side
Effects

Call your doctor right away if you notice any of these side effects:
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
Blurred vision.
Fast or pounding heartbeat.
Lightheadedness or fainting.
Problems with speech, balance or walking.
Seizures, tremors, or shaking.
Trouble breathing.

Precautions

You should not use this medicine if you have had an allergic reaction to any type of insulin.

Missed
Dose

Call your doctor or pharmacist for instructions.

Drug
Interactions

Make sure your doctor knows if you are pregnant or planning to become pregnant.

Tell your doctor if you are breast feeding.
Make sure your doctor knows if you have liver disease, kidney disease, or problems of the adrenal, thyroid, or pituitary gland.
Your doctor will need to check your progress at regular visits while you are using this medicine.

Be sure to keep all appointments.
This medicine may make you dizzy or drowsy.

Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
If your blood sugar gets too low, you may feel weak, drowsy, confused, anxious, or very hungry.

You may also sweat, shake, or have blurred vision, a fast heartbeat, or a headache that will not go away.

If you have symptoms of low blood sugar (hypoglycemia), check your blood sugar.

If your blood sugar is 70 mg/dL (milligrams per deciliter) or below, do one of the following: Drink 4 ounces (one-half cup) of fruit juice, or eat 5 to 6 pieces of hard candy, or take 2 to 3 glucose tablets.

Re-check your blood sugar 15 minutes later.

If your blood sugar is above 70 mg/dL, eat a snack or a meal.

If your blood sugar is still below 70 mg/dL, drink one-half cup juice, or eat 5 to 6 pieces of candy, or take 2 to 3 glucose tablets.

Carry candy or some type of sugar with you at all times, especially if you are away from home.

You can take this if you feel that your blood sugar is too low, even if you do not have a blood glucose meter.

If
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CONDITIONS
OF USE: The information in this database is intended to supplement, not substitute
for, the expertise and judgement of healthcare professionals. The information
is not intended to cover all possible uses, directions, precautions, drug interactions
or adverse effects, nor should it be construed to indicate that use of a particular
drug is safe, appropriate or effective for you or anyone else. A healthcare professional
should be consulted before taking any drug, changing any diet or commencing or
discontinuing any course of treatment.